Provider Demographics
NPI:1033180773
Name:HEAD, JAMES ROSS (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROSS
Last Name:HEAD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1020 TULLOSS ROAD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-202-5096
Mailing Address - Fax:615-834-3008
Practice Address - Street 1:394 HARDING PL
Practice Address - Street 2:SUITE 102
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3980
Practice Address - Country:US
Practice Address - Phone:615-834-3123
Practice Address - Fax:615-834-3008
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2016-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD12609207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3180862Medicaid
TN3180862Medicare Oscar/Certification
TNB03932Medicare UPIN
TN3180862Medicaid